{"text_format":"3","workbook":"xls","n_sheets":7,"sheets":["A1.CVC CPT","A2.HD CPT","A3.Dial & RF used with HD procs","A4.Excl Codes other than HD","A5.Cath Remove & Replace CPT","A6.Cancer ICD-9-CM","A7.Cath complications"],"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"A1.CVC CPT","index":0,"n_rows":24,"n_cols":2,"rows_kept":24,"flags":["formulas_cached_only"]}
["Central venous catheter (CVC) insertion CPT procedure codes and descriptions"]
["CPT","DEFINITION"]
[36555,"Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age"]
[36556,"Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older"]
[36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age"]
[36558,"Insertion of tunneled centrally inserted central venous catheter; without subcutaneous port or pump; age 5 years or older"]
[36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age"]
[36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older"]
[36563,"Insertion of tunneled centrally inserted central venous access device with subcutaneous pump"]
[36565,"Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous access sites; without subcutaneous port of pump (e.g., Tesio type)"]
[36566,"Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous access sites; with subcutaneous port(s)"]
[36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; younger than 5 years of age"]
[36569,"Insertion of PICC, without subcutaneous port or pump; age 5 years or older"]
[36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age"]
[36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older"]
[36010,"Introduction of catheter, superior of inferior vena cava"]
[36011,"Selective catheter placement, venous system; first order branch (e.g., renal vein, jugular vein)"]
[36012,"Selective catheter placement, venous system; second order, or more selective branch (e.g., left adrenal vein, petrosal sinus)"]
[36481,"Percutaneous portal vein catheterization by any method "]
[36488,"Placement of central venous catheter (subclavian, jugular, or other vein) (eg, for central venous pressure, hyperalimentation, hemodialysis, or chemotherapy); percutaneous, age 2 years or under "]
[36489,"Placement of central venous catheter, percutaneous, over age 2 "]
[36490,"Placement of central venous catheter, cutdown, 2 years or younger"]
[36491,"Placement of central venous catheter, cutdown, older than 2 years"]
[36533,"Insertion of implantable venous access device, with or without subcutaneous reservoir"]

{"sheet":"A2.HD CPT","index":1,"n_rows":17,"n_cols":2,"rows_kept":17,"flags":["formulas_cached_only"]}
["Hemodialysis (HD) catheter insertion CPT procedure codes and descriptions*"]
["CPT","DEFINITION"]
[36488,"Placement of central venous catheter (subclavian, jugular, or other vein) (eg, for central venous pressure, hyperalimentation, hemodialysis, or chemotherapy); percutaneous, age 2 years or under "]
[36489,"Placement of central venous catheter, percutaneous, over age 2 "]
[36490,"Placement of central venous catheter, cutdown, 2 years or younger"]
[36491,"Placement of central venous catheter, cutdown, older than 2 years"]
[36533,"Insertion of implantable venous access device, with or without subcutaneous reservoir"]
[36555,"Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age"]
[36556,"Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older"]
[36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age"]
[36558,"Insertion of tunneled centrally inserted central venous catheter; without subcutaneous port or pump; age 5 years or older"]
[36565,"Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous access sites; without subcutaneous port of pump (eg, Tesio type)"]
[36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein"]
["*The above codes (except CPT 36800) require accompanying dialysis or renal failure codes occurring 30 days before or after HD catheter insertion claim."]
["See Appendix A3 for accompanying dialysis and renal failure codes."]
["None of the above codes can have a code for specific chemotherapy or parenteral nutrition occurring 30 days before or after HD catheter insertion claim."]
["See Appendix A4 for chemotherapy and parenteral nutrition codes."]

{"sheet":"A3.Dial & RF used with HD procs","index":2,"n_rows":28,"n_cols":2,"rows_kept":28,"flags":["formulas_cached_only"]}
["Dialysis and renal failure codes used in conjunction with hemodialysis (HD) catheter insertion procedures*"]
["CODE","DEFINITION"]
["38.95**","Venous catheterization for renal dialysis"]
["39.27**","Arteriovenostomy for renal dialysis. Anastomosis for renal dialysis. Formation of (peripheral) arteriovenous, fistula for renal [kidney] dialysis"]
["403.xx**","Hypertensive chronic kidney disease"]
["580.xx**","Acute glomerulonephritis"]
["581.xx**","Nephrotic syndrome"]
["582.xx**","Chronic glomerlonephritis"]
["583.xx**","Nephritis and nephropathy, not specified as acute or chronic"]
["584.xx**","Acute renal failure"]
["585.xx**","Chronic kidney disease (CKD)"]
["586.xx**","Renal failure, unspecified"]
["587.xx**","Renal sclerosis, unspecified"]
["588.xx**","Disorders resulting from impaired renal function"]
["589.xx**","Small kidney of unknown cause"]
["593.xx**","Other disorders of kidney and ureter"]
["996.73**","Other complications of renal dialysis device, implant, and graft"]
["V45.1x**","Renal dialysis status"]
["V56.xx**","Encounter for dialysis and dialysis catheter care"]
["90935***","Hemodialysis procedure with single physician evaluation"]
["90937***","Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription"]
["90999***","Unlisted dialysis procedure, inpatient or outpatient"]
["0505F***","Hemodialysis plan of care documented (End Stage Renal Disease, ESRD) "]
["3066F***","Documentation of treatment for nephropathy (e.g., patient receiving dialysis, patient being treated for ESRD, CRF, ARF, or renal insufficiency, any visit to a nephrologist)"]
["4054F***","Hemodialysis via catheter (ESRD)"]
["*Above codes must occur with all HD insertion codes, except CPT 36800."]
["**ICD-9-CM"]
["***CPT"]

{"sheet":"A4.Excl Codes other than HD","index":3,"n_rows":30,"n_cols":2,"rows_kept":30,"flags":["formulas_cached_only"]}
["Exclusion codes for catheter placement for purposes other than hemodialysis (HD) "]
["CODE","DEFINITION"]
["96408*","CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; PUSH TECHNIQUE"]
["96410*","CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; INFUSION TECHNIQUE, UP TO ONE HOUR"]
["96412*","Chemo, infuse method add-on"]
["B4164**","Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - homemix"]
["B4168**","Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - homemix"]
["B4172**","Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - homemix"]
["B4176**","Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - homemix"]
["B4178**","Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - homemix"]
["B4180**","Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml=1 unit) - homemix"]
["B4184**","Parenteral nutrition solution; lipids, 10% with administration set (500 ml = 1 unit)"]
["B4185**","Parenteral nutrition solution, per 10 grams lipids"]
["B4186**","Parenteral nutrition solution, lipids, 20% with administration set (500 ml = 1 unit)"]
["B4189**","Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix"]
["B4193**","Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix"]
["B4197**","Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix"]
["B4199**","Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix"]
["B4216**","Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day"]
["B4220**","Parenteral nutrition supply kit; premix, per day"]
["B4222**","Parenteral nutrition supply kit; home mix, per day"]
["B4224**","Parenteral nutrition administration kit, per day"]
["B5000**","Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal - amirosyn rf, nephramine, renamine - premix"]
["B5100**","Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic - freamine hbc, hepatamine - premix"]
["B5200**","Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress - branch chain amino acids - premix"]
["B9004**","Parenteral nutrition infusion pump, portable"]
["B9006**","Parenteral nutrition infusion pump, stationary"]
["B9999**","Noc for parenteral supplies"]
["*CPT"]
["**HCPCS"]

{"sheet":"A5.Cath Remove & Replace CPT","index":4,"n_rows":12,"n_cols":2,"rows_kept":12,"flags":["formulas_cached_only"]}
["Catheter removal and replacement CPT codes"]
["CPT","DEFINITION"]
[36535,"Removal of implantable venous access device, and/or subcutaneous reservoir"]
[36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump"]
[36590,"Removal of tunneled central venous access device with subcutaneous port or pump, central or peripheral insertion"]
[36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access"]
[36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access"]
[36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access"]
[36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access"]
[36584,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access "]
[36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access"]
[36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site"]

{"sheet":"A6.Cancer ICD-9-CM","index":5,"n_rows":12,"n_cols":2,"rows_kept":12,"flags":["formulas_cached_only"]}
["Baseline cancer ICD-9-CM diagnosis codes"]
["ICD-9-CM Code","Description"]
["14x.xx ","Malignant neoplasm of lip, oral cavity, and pharynx"]
["15x.xx","Malignant neoplasm of digestive organs and peritoneum"]
["16x.xx","Malignant neoplasm of respiratory and intrathoracic organs"]
["17x.xx","Malignant neoplasm of bone, connective tissue, skin, and breast"]
["18x.xx","Malignant neoplasm of genitourinary organs"]
["19x.xx","Malignant neoplasm of other and unspecified sites"]
["20x.xx ","Malignant neoplasm of lymphatic and hematopoietic tissue"]
["Patients with cancer may require an indwelling catheter as part of their treatment plan. In this study, baseline cancer status among patients in the CVC cohort is defined using ICD-9-CM codes 140.xx to 195.xx, 196.xx to 198.xx, 199.xx, and 200.xx to 208.xx for malignant neoplasms. Patients with cancer are identified if they have either:"]
["1. Two similar (i.e., match on the first 3 digits) outpatient or inpatient ICD-9-CM diagnosis codes 140.xx to 195.xx, 196.xx to 198.xx, 199.xx, and 200.xx to 208.xx  that occur within the baseline period of 180 days and are separated by at least one day or "]
["2. One outpatient or inpatient ICD-9-CM diagnosis code 140.xx to 195.xx, 199.xx, 200.xx to 208.xx AND one outpatient or inpatient secondary neoplasm diagnosis."]

{"sheet":"A7.Cath complications","index":6,"n_rows":49,"n_cols":3,"rows_kept":49,"flags":["formulas_cached_only"]}
["Diagnosis and procedure codes for post-catheter insertion complications "]
["Post-catheter insertion complication","CODE","DEFINITION"]
["Intracranial hemorrhage","431**","Intracerebral hemorrhage"]
[null,"432.x**","Other and unspecified intracranial hemorrhage"]
[null,"997.02**","Iatrogenic cerebrovascular infarction or hemorrhage"]
["Major bleeding","459**","Hemorrhage, unspecified"]
[null,"998.11**","Hemorrhage complicating a procedure"]
["Thrombosis","444.xx**","Arterial embolism and thrombosis"]
[null,"451.xx**","Phlebitis and thrombophlebitis"]
[null,"453.xx**","Other venous embolism and thrombosis"]
[null,"99.1**","Injection or infusion of thrombolytic agent"]
[null,"34001*","Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision"]
[null,"34051*","Embolectomy or thrombectomy, with or without catheter; innominate,subclavian artery, by thoracic incision"]
[null,"34101*","Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision"]
[null,"34111*","Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision"]
[null,"34151*","Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision"]
[null,"34201*","Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision"]
[null,"34203*","Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision"]
[null,"34401*","Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision"]
[null,"34421*","Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision"]
[null,"34451*","Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision"]
[null,"34471*","Thrombectomy, direct or with catheter; subclavian vein, by neck incision"]
[null,"34490*","Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision"]
[null,"37201*","Transcatheter therapy, infusion for thrombolysis other than coronary"]
[null,"75896*","Transcatheter therapy, infusion, any method (eg thrombolysis other than coronary), radiological supervision and interpretation"]
["Embolism ","415.1x**","Pulmonary embolism and infarction"]
[null,"433.xx**","Occlusion and stenosis of precerebral arteries"]
[null,"434.xx**","Occlusion of cerebral arteries"]
[null,"435.8**","Other specified transient cerebral ischemias"]
[null,"435.9**","Unspecified transient cerebral ischemia"]
[null,"436**","Acute, but ill-defined, cerebrovascular disease"]
[null,"445.xx**","Atheroembolism"]
[null,"33910*","Pulmonary artery embolectomy; with cardiopulmonary bypass"]
[null,"33915*","Pulmonary artery embolectomy; without cardiopulmonary bypass"]
[null,"33916*","Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass"]
[null,"92973*","Percutaneous transluminal coronary thrombectomy (list separately in addition to code for primary procedure); use in conjunction with codes 92980, 92982"]
[null,"37195*","Thrombolysis, cerebral, by intravenous infusion"]
[null,"92975*","Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography"]
[null,"92977*","Thrombolysis, coronary; by intravenous infusion"]
["Catheter-related bloodstream infection (CRBSI) ","20.2**","Septicemic"]
[null,"038.xx**","Septicemia"]
[null,"790.7**","Bacteremia"]
[null,"995.91**","Sepsis"]
[null,"995.92**","Severe sepsis"]
[null,"996.62**","Infection and inflammatory reaction due to other internal vascular device, implant, and graft "]
[null,"999.3**","Other infection"]
["Mechanical catheter-related complication","996.1**","Mechanical complication of other vascular device, implant, and graft"]
["*CPT"]
["**ICD-9-CM"]